Value of pharmacy services upon admission to an orthopedic surgery unit

BACKGROUND: In Lebanon, the role of the pharmacist remains underestimated in the medication reconciliation process, especially in surgical departments. This study aims to assess the impact of pharmacist-conducted medication reconciliation performed within 48 h of hospital admission to the orthopedic...

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Autores principales: Ouweini, Ahmad El, Karaoui, Lamis R., Chamoun, Nibal, Assi, Chahine, Yammine, Kaissar, Ramia, Elsy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8646011/
https://www.ncbi.nlm.nih.gov/pubmed/34872605
http://dx.doi.org/10.1186/s40545-021-00384-x
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author Ouweini, Ahmad El
Karaoui, Lamis R.
Chamoun, Nibal
Assi, Chahine
Yammine, Kaissar
Ramia, Elsy
author_facet Ouweini, Ahmad El
Karaoui, Lamis R.
Chamoun, Nibal
Assi, Chahine
Yammine, Kaissar
Ramia, Elsy
author_sort Ouweini, Ahmad El
collection PubMed
description BACKGROUND: In Lebanon, the role of the pharmacist remains underestimated in the medication reconciliation process, especially in surgical departments. This study aims to assess the impact of pharmacist-conducted medication reconciliation performed within 48 h of hospital admission to the orthopedic surgical department. METHODS: This was a prospective single-arm study conducted in a tertiary-care teaching hospital in Lebanon between October 2019 and April 2020. Participants were adult inpatients hospitalized for orthopedic surgeries with ≥ 1 outpatient medications. Properly trained pharmacy resident obtained the Best Possible Medication History (BPMH) and led the reconciliation process. The primary endpoint was the number of reconciliation errors (REs) identified. Descriptive statistics were used to report participants’ responses and relevant findings. Linear regression was performed with the number of REs as a continuous dependent variable using backward method. Results were assumed to be significant when p was < 0.05. RESULTS: The study included 100 patients with a mean age of 73.8 years, admitted for elective (54%) or emergency (46%) surgeries. Half of the study population had ≥ 5 home medications. The mean time for taking BPMH was around 8 min. A total of 110 REs were identified in 74 patient cases. The most common discrepancies consisted of medication omission (89.1%) and the most common medications involved were antihyperlipidemic agents. Twenty-four REs were judged as clinically significant, and four as serious. The most common interventions included the addition of a medication (71.9%). Most of the relayed interventions (84.5%) were accepted. The number of home medications was the only variable significantly associated with the number of REs (β 0.492; p < 0.001). CONCLUSION: Pharmacy-led medication reconciliation upon admission to orthopedic surgery department can reduce reconciliation errors and improve medication safety. TRIAL REGISTRATION: Retrospectively registered in the Lebanon Clinical Trials Registry (LBCTR2020124680). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40545-021-00384-x.
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spelling pubmed-86460112021-12-06 Value of pharmacy services upon admission to an orthopedic surgery unit Ouweini, Ahmad El Karaoui, Lamis R. Chamoun, Nibal Assi, Chahine Yammine, Kaissar Ramia, Elsy J Pharm Policy Pract Research BACKGROUND: In Lebanon, the role of the pharmacist remains underestimated in the medication reconciliation process, especially in surgical departments. This study aims to assess the impact of pharmacist-conducted medication reconciliation performed within 48 h of hospital admission to the orthopedic surgical department. METHODS: This was a prospective single-arm study conducted in a tertiary-care teaching hospital in Lebanon between October 2019 and April 2020. Participants were adult inpatients hospitalized for orthopedic surgeries with ≥ 1 outpatient medications. Properly trained pharmacy resident obtained the Best Possible Medication History (BPMH) and led the reconciliation process. The primary endpoint was the number of reconciliation errors (REs) identified. Descriptive statistics were used to report participants’ responses and relevant findings. Linear regression was performed with the number of REs as a continuous dependent variable using backward method. Results were assumed to be significant when p was < 0.05. RESULTS: The study included 100 patients with a mean age of 73.8 years, admitted for elective (54%) or emergency (46%) surgeries. Half of the study population had ≥ 5 home medications. The mean time for taking BPMH was around 8 min. A total of 110 REs were identified in 74 patient cases. The most common discrepancies consisted of medication omission (89.1%) and the most common medications involved were antihyperlipidemic agents. Twenty-four REs were judged as clinically significant, and four as serious. The most common interventions included the addition of a medication (71.9%). Most of the relayed interventions (84.5%) were accepted. The number of home medications was the only variable significantly associated with the number of REs (β 0.492; p < 0.001). CONCLUSION: Pharmacy-led medication reconciliation upon admission to orthopedic surgery department can reduce reconciliation errors and improve medication safety. TRIAL REGISTRATION: Retrospectively registered in the Lebanon Clinical Trials Registry (LBCTR2020124680). SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s40545-021-00384-x. BioMed Central 2021-12-06 /pmc/articles/PMC8646011/ /pubmed/34872605 http://dx.doi.org/10.1186/s40545-021-00384-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Ouweini, Ahmad El
Karaoui, Lamis R.
Chamoun, Nibal
Assi, Chahine
Yammine, Kaissar
Ramia, Elsy
Value of pharmacy services upon admission to an orthopedic surgery unit
title Value of pharmacy services upon admission to an orthopedic surgery unit
title_full Value of pharmacy services upon admission to an orthopedic surgery unit
title_fullStr Value of pharmacy services upon admission to an orthopedic surgery unit
title_full_unstemmed Value of pharmacy services upon admission to an orthopedic surgery unit
title_short Value of pharmacy services upon admission to an orthopedic surgery unit
title_sort value of pharmacy services upon admission to an orthopedic surgery unit
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8646011/
https://www.ncbi.nlm.nih.gov/pubmed/34872605
http://dx.doi.org/10.1186/s40545-021-00384-x
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